Identifying correlates of self-stigma in adults who stutter: Further establishing the construct validity of the Self-Stigma of Stuttering Scale (4S)
Identifying correlates of self-stigma in adults who stutter: Further establishing the construct validity of the Self-Stigma of Stuttering Scale (4S)
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DOI：
10.1016/j.jfludis.2014.12.002
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发表时间：
2015-03-01
影响因子：
2.1
通讯作者：
Boyle, Michael P.
中科院分区：
文献类型：
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作者：
Boyle, Michael P.
目的：本研究的目的是通过证明口吃自我污名量表 (4S) 与其他既定量表的关联并复制其原始因素结构和可靠性估计，进一步确定口吃自我污名量表 (4S) 的结构效度。方法：由从流畅性障碍委员会认证专家和国家口吃协会成人分会招募的 354 名口吃成年人完成了网络调查。参与者完成了一系列经过心理测量验证的量表，测量自我耻辱、希望、赋权、生活质量、社会支持、焦虑、抑郁和自评言语障碍。结果：4S 子量表和总耻辱分数越高，希望、赋权、生活质量和社会支持水平显着降低，焦虑、抑郁和自评言语障碍水平显着升高。复制了 4S 的原始因子结构，并且子量表的可靠性估计范围从足够到优秀。结论：本研究的结果支持 4S 的构建有效性以及临床医生和研究人员使用它来测量口吃成年人的自我耻辱的构建。教育目标：读者应该能够：（a）区分自我耻辱的各个组成部分； (b) 描述自我耻辱模型的各个组成部分如何与希望、赋权、生活质量、社会支持、自评言语障碍、焦虑和抑郁相关； (c) 从可靠性、因子结构和结构效度方面总结口吃自我污名量表（4S）的心理测量特性； (d) 讨论如何将 4S 用于研究和临床实践。 (C) 2015 Elsevier Inc. 保留所有权利。
Purpose: This study was set up to further establish the construct validity of the Self-Stigma of Stuttering Scale (4S) by demonstrating its associations with other established scales and replicating its original factor structure and reliability estimates.Method: Web surveys were completed by 354 adults who stutter recruited from Board Certified Specialists in Fluency Disorders, and adult chapters of the National Stuttering Association. Participants completed a series of psychometrically validated scales measuring self-stigma, hope, empowerment, quality of life, social support, anxiety, depression, and self-rated speech disruption.Results: Higher subscale and total stigma scores on the 4S were associated with significantly lower levels of hope, empowerment, quality of life, and social support, and significantly higher levels of anxiety, depression, and self-rated speech disruption. The original factor structure of the 4S was replicated, and reliability estimates of the subscales ranged from adequate to excellent.Conclusions: The findings of this study support the construct validity of the 4S and its use by clinicians and researchers intending to measure the construct of self-stigma in adults who stutter.Educational objectives: Readers should be able to: (a) distinguish between the various components of self-stigma; (b) describe how the various components of the self-stigma model relate to hope, empowerment, quality of life, and social support, self-rated speech disruption, anxiety, and depression; (c) summarize the psychometric properties of the Self-Stigma of Stuttering Scale (4S) in terms of reliability, factor structure, and construct validity; (d) discuss how the 4S could be used in research and clinical practice. (C) 2015 Elsevier Inc. All rights reserved.